Empower Stroke Recovery LLC

Organization Active NPI Physical Therapist · Overland Park, KS

NPI 1285349258 · NPPES record last updated Jan 13, 2023

Key facts

NPI
1285349258
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
EMPOWER STROKE RECOVERY LLC
Practice address
12213 Goodman St
Overland Park, KS 66213-1273
Phone
(816) 305-6623
NPI assigned
Jan 13, 2023
Organization subpart
No

Authorized official

Name
Mary Rush NPI 1487369443
Title
Owner/Physical Therapist
Phone
(903) 312-0758

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KS, MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230320000732 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345614095 Receives reassigned benefits from 3 practitioners
Practice locations: Overland Park, KS
O20240628002882 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345614095 Receives reassigned benefits from 3 practitioners
Practice locations: Blue Springs, MO

National Provider Directory

Locations

6400 Sprint Pkwy
Overland Park, KS 66211
Phone (816) 305-6623

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

12213 Goodman St
Overland Park, KS 66213-1273

Mailing address

12213 Goodman St
Overland Park, KS 66213-1273

Other providers in Overland Park, KS

All providers in Overland Park, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.